What are the reasons for pain in the shoulder blade area?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Pain in the shoulder blade area is often caused by three main issues: nerve problems (such as pinched or irritated nerves), scapulothoracic dysfunction (when the shoulder blade doesn't glide smoothly over the ribs), or, in rare cases, a benign soft-tissue growth called elastofibroma dorsi.

Because these causes range from common to rare—and treatment varies widely—it's important to identify what's driving your pain before it worsens or limits movement. A free, instant, online symptom check can help you pinpoint likely causes based on your specific symptoms and guide you on the right next steps, whether that means self-care, seeing a physical therapist, or consulting a specialist.

Reviewed for medical accuracy: 07/20/2026

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Explanation

Pain in the shoulder blade area can have several causes. One cause could be nerve problems that affect the shoulder, leading to discomfort or pain. Another possible cause is a rare condition called elastofibroma dorsi. This condition involves a growth that can develop near the shoulder blade, causing pain or discomfort. Lastly, issues with the shoulder blade moving over the ribs can also lead to pain. This condition is known as scapulothoracic crepitus or bursitis. It happens when the shoulder blade does not move smoothly, causing rubbing and irritation.

Causes of Shoulder Blade Pain:

Nerve Problems: These can affect the shoulder, leading to pain.
Elastofibroma Dorsi: A rare growth near the shoulder blade that can cause pain.
Scapulothoracic Crepitus/Bursitis: When the shoulder blade rubs against the ribs, causing irritation.

Each of these conditions can lead to discomfort in the shoulder blade area, and understanding them can help in identifying the source of pain. If you're experiencing shoulder blade discomfort, consider using a free AI-powered symptom checker to help determine what might be causing your symptoms.

(References)

Bateman JE. (1983). Neurologic painful conditions affecting the shoulder. Clinical orthopaedics and related research, 6825345.
Majó J, Gracia I, Doncel A, Valera M, Núñez A, & Guix M. (2001). Elastofibroma dorsi as a cause of shoulder pain or .... Clinical orthopaedics and related research, 11451120.
Kuhn JE, Plancher KD, & Hawkins RJ. (1998). Symptomatic scapulothoracic crepitus and bursitis. The Journal of the American Academy of Orthopaedic Surgeons, 9753753.

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